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Long-term results of arthroscopic capsulolabral revision repair for failed anterior shoulder instability repair using suture anchors at a minimum of 10 years follow-up

  • Arthroscopy and Sports Medicine
  • Published:
Archives of Orthopaedic and Trauma Surgery Aims and scope Submit manuscript

Abstract

Introduction

Arthroscopic revision anterior shoulder instability repair has been proposed, and early clinical results have been promising. However, long-term results after this procedure and the probable risk factors for failure have not been sufficiently discussed in the literature.

Materials and methods

Thirty-eight patients who were diagnosed with recurrent anteroinferior shoulder instability after failed Bankart repair, treated with ACRR between September 1998 and November 2003 and able to be contacted were included. Of these patients, 2 were excluded from the study due to the use of SureTak anchors for fixation, and 5 other patients refused to participate in the study due to lack of interest (3 patients) or lack of time (2 patients). The remaining shoulders were clinically examined at a minimum of ten years after surgery via the ASES, Constant, AAOS, Rowe, Dawson and VAS scores for pain and stability. Degenerative arthropathy was assessed with the modified Samilson-Prieto score.

Results

All 31 remaining shoulders were evaluated at a mean time of 11.86 years (142.4 months) after surgery. Six patients (19.35%) reported redisolcation after the revision procedure, 4 of whom were affected by a new significant shoulder trauma. The ROWE and Constant scores improved significantly. Moderate to severe dislocation arthropathy was observed in 19.4% of patients. Five patients (16.2%) were not satisfied with the procedure.

Conclusion

Long-term follow-up after ACRR shows predictable results, with a high degree of patient satisfaction, good to excellent patient-reported outcome scores and minimal radiological degenerative changes. However, with an average recurrence rate of 19.3% after 11.86 years, the redislocation rate appears high. With careful patient selection, recurrence rates can be significantly reduced.

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Data availability

Authors confirm the availability of the data and materials used in this study for any future request.

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Funding

The authors declare that no funds, grants, or other support were received during the preparation of this manuscriptoutside the normal clinic resources.

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Authors and Affiliations

  1. Department of orthopaedic Surgery, Mansoura University, Mansoura, Egypt

    Mohamed Aboalata

  2. Department of Orthopaedic Surgery, Rhön klinik Campus Bad Neustadt, Bad Neustadt an der Saale, Germany

    Mohamed Aboalata

  3. Department of Trauma Surgery, Hand and Plastic Surgery, University of Augsburg, Augsburg, Germany

    Johannes Plath

  4. Department of Orthhopedic surgery, Students’ hospital Mansoura University, Mansoura, Egypt

    Hani Eltair

  5. Department of Orthopedic surgery, Bad Windsheim hospital, Bad Windsheim, Germany

    Hani Eltair

  6. Department of sport orthopaedic, Hessing clinic, Augsburg, Germany

    Stephan Vogt

  7. Department of orthopaedic sports medicine, Klinikum Rechts der Isar, TUM, Munich, Germany

    Andreas B. Imhoff

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Contributions

first and second authors have equal contribution to designing the study, collecting patients, conducting examination and Data Analysis, writing the manuscript. 3rd authors: participated in examination of patients and collecting Literature. 4th Authors: Participated in designing the study and planning the methods. Revision of the results and manuscript. 5th Author: final revision of the manuscript. All authors commented on previous versions of the manuscript. All authors read and approved the final manuscript.

Corresponding author

Correspondence to Mohamed Aboalata.

Ethics declarations

Ethics approval and consent to participate

This study was performed in line with the principles of the Declaration of Helsinki. The study had been approved by the Ethics Committee and Institutional Research Board in Technical University of Munich.

Consent for publication

The authors affirm that human research participants provided informed consent for publication of the images and data in the manuscript.

Informed consent

Informed consent was obtained from all individual participants included in the study.

Competing interests

No conflict of Interest except the Last Author, Andreas B. Imhoff: Arthrex Inc. Naples: Royalties. Arthrosurface, Boston: Consultant and Royalties. Medi Bayreuth Germany: Consulatnt. On behalf of all authors, the corresponding author states that there is no conflict of interest and non-financial interests to disclose.

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Aboalata, M., Plath, J., Eltair, H. et al. Long-term results of arthroscopic capsulolabral revision repair for failed anterior shoulder instability repair using suture anchors at a minimum of 10 years follow-up. Arch Orthop Trauma Surg (2024). https://doi.org/10.1007/s00402-024-05304-7

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